Laboratory Charge Capture and Billing Support Specialist

St. Charles Health System Inc.; Bend (OR); Hybrid; USD 30,000 - 41,000; Full time

Job summary

St. Charles Health System is seeking a Laboratory Charge Capture and Billing Support Specialist in Bend, OR to ensure accurate charge capture and timely billing. You will review charges, manage work queues, and resolve discrepancies in collaboration with Revenue Cycle and Laboratory teams.

The role requires 2+ years in healthcare billing or related fields, with familiarity in CPT/ ICD-10 coding and laboratory systems. Strong accuracy, communication, and teamwork are essential.

Qualifications

• Two (2) years of healthcare billing or revenue cycle experience.
• Working knowledge of CPT and ICD-10 coding preferred.
• Experience with electronic health records or laboratory information systems.

Responsibilities

• Review charges and supporting documentation for accuracy and completeness.
• Monitor charge capture and billing work queues; resolve routine edits.
• Prepare outreach client invoices and reconcile reference lab invoices.
• Identify and report recurring billing issues to leadership.
• Assist with process improvement to reduce revenue leakage.

Skills

Healthcare billing knowledge

Excel proficiency

Communication skills

Analytical thinking

Team collaboration

Education

High school diploma or equivalent

Associate or Bachelor’s degree

Tools

Microsoft Office

Laboratory information systems

Job description

## Laboratory Charge Capture and Billing Support SpecialistApply: Bend, OR: Full time: Posted Today: R1022527Full-Time, Variable Pay range: $22.30 - $30.11**ST. CHARLES HEALTH SYSTEM****JOB DESCRIPTION****TITLE:** Laboratory Charge Capture and Billing Support Specialist **REPORTS TO POSITION:** Laboratory Support Services Supervisor**DEPARTMENT:** Laboratory**DATE LAST REVIEWED:** August 2026**OUR VISION:** Creating America’s healthiest community, together**OUR MISSION:**In the spirit of love and compassion, better health, better care, better value**OUR VALUES:** Accountability, Caring and Teamwork**DEPARTMENT SUMMARY:** The Laboratory Departments provide comprehensive laboratory services to the multi-hospital organization and outreach community, including blood collection, specimen processing, testing, and reporting of results across all disciplines of laboratory medicine. Laboratory services support patients, providers, caregivers, and community partners across the health system by providing accurate, timely, and reliable laboratory testing and results.**POSITION OVERVIEW:** The **Laboratory Charge Capture and Billing Support Specialist** supports laboratory revenue cycle operations by ensuring accurate charge capture, billing documentation, and timely resolution of billing and charge issues. The position reviews charges, manages billing work queues, reconciles reference laboratory invoices, prepares outreach client invoices, and identifies charge and billing discrepancies. The Specialist works with Laboratory Services, Revenue Cycle, Patient Financial Services, and external laboratory partners to resolve issues and support accurate and compliant billing processes.**ESSENTIAL FUNCTIONS AND DUTIES:**Charge Capture and Billing Support* Reviews laboratory charges and supporting documentation for accuracy and completeness.* Monitors assigned charge capture and billing work queues and resolves routine edits and exceptions.* Identifies missing, incorrect, or incomplete charges and coordinates corrections.* Researches and resolves laboratory billing and charge discrepancies with appropriate teams.* Performs routine charge capture and billing audits and report identified trends or issues.* Supports third-party and reference laboratory billing by ensuring accurate demographic, order, charge, and billing information.Invoice and Client Support* Reviews and reconciles reference laboratory invoices and supporting documentation.* Prepares and maintains accurate laboratory outreach client invoices.* Researches laboratory billing inquiries and coordinates resolution with appropriate teams.* Identifies and reports recurring billing and charge issues to the Laboratory Revenue Integrity Specialist and/or Revenue Cycle leadership.Compliance and Process Improvement* Performs charge capture and billing activities according to established procedures, payer requirements, and organizational policies.* Maintains knowledge of laboratory billing and charge capture requirements.* Identifies opportunities to improve charge capture and billing workflows and reduce revenue leakage.* Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.* Assists with development and maintenance of job aids and workflow documentation.General Responsibilities* Supports the vision, mission and values of the organization in all respects.* Provides and maintains a safe environment for caregivers, patients and guests.* Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.* Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.* May perform additional duties of similar complexity within the organization, as required or assigned.**EDUCATION:****Required:** High school diploma or equivalent. **Preferred:** Associate’s or Bachelor’s degree. **LICENSURE/CERTIFICATION/REGISTRATION:****Required:** N/A**Preferred:** N/A**EXPERIENCE:****Required:** Two (2) years of experience in healthcare billing, revenue cycle, laboratory support, or a related healthcare field. Working knowledge of healthcare billing and revenue cycle processes. **Preferred:** Three (3) years of experience in healthcare billing, revenue cycle, laboratory support, or a related healthcare field. Knowledge of CPT and ICD-10 coding. Experience with laboratory charge capture and billing processes. Experience working with electronic health records or laboratory information systems.**PERSONAL PROTECTIVE EQUIPMENT:**Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.**ADDITIONAL POSITION INFORMATION:****Communication/Interpersonal**Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.Strong team working and collaborative skills.Ability to effectively reach consensus with a diverse population with differing needs.Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results.Ability to work under pressure in a fast-paced environment.**Organizational**Ability to multi-task and work independently.Attention to detail.Excellent organizational skills, written and oral communication, and customer service skills, particularly in dealing with stressful personal interactions.Strong analytical, problem solving and decision-making skills.**Technical**Strong computer skills, including proficiency with Microsoft Office applications.Intermediate Excel skills and ability to create, maintain, and interpret reports.Ability to navigate laboratory, billing, and electronic health record systems.Ability to accurately enter, review, and reconcile electronic charge and billing information.**PHYSICAL REQUIREMENTS:**Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing, or pulling 1-10 pounds, grasping/squeezing.Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-25 pounds, operation of a motor vehicle.Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.Exposure to Elemental FactorsNever (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.Blood-Borne Pathogen (BBP) Exposure CategoryNo Risk for Exposure to BBPSchedule Weekly Hours:40Caregiver Type:RegularShift:Variable (United States of America)Is Exempt Position?NoJob Family:ASSISTANT LABScheduled Days of the Week:As Scheduled (may include weekends and holidays)Shift Start & End Time:830 - 1700